The social determinants of health and the role of local government
Improvement and Development Agency for local government (IDeA) UK
February 2010
Website: http://www.idea.gov.uk/idk/aio/17417880
This collection of articles assesses what local government can do to tackle the social conditions that lead to health inequalities. Written by distinguished practitioners and academics, the publication builds on the recent Marmot Review report, 'Fair Society, Healthy Lives'.
Some of the articles are deliberately challenging and provocative. Some of them present a picture of what is already happening in local government. Some look to what more local authorities could do, either with additional powers or by using their existing powers and remit. All will challenge and extend your current thinking.
‘……In undertaking this review, we identified evidence and made recommendations in the key policy areas – the social determinants of health – where action is likely to be most effective in reducing health inequalities. These are:
• early child development and education
• employment arrangements and working conditions
• social protection
• the built environment
• sustainable development
• economic analysis
• delivery systems and mechanisms
• priority public health conditions
• social inclusion and social mobility.
In every single one of these areas, local government has a significant role to play. Local authorities make a very important contribution to weaving the social fabric of their areas and seeking to create and sustain healthy places for people to be born, grow, live, work and age. No review of health inequalities and measures to reduce them in this country can afford to ignore the role of local government…..”
Download summary and full versions of the publication
Download individual chapters
Foreward and introduction (PDF, 7 pages, 315KB)
Chapter 1: What makes people healthy and what makes them ill? (PDF, 5 pages, 115KB)
Chapter 3: Making a difference: using NICE guidance and embedding evaluation (PDF, 5 pages, 154KB)
Chapter 4: The changing public health workforce (PDF, 3 pages, 106KB)
Chapter 5: Greenwich – health is everybody's business (PDF, 2 pages, 124KB)
Chapter 7: Embedding health in a vision of 'Total Place' (PDF, 2 pages, 132KB)
Chapter 8: Local Government – what does it mean for the frontline? (PDF, 14 pages, 200KB)
Chapter 9: Local public health intelligence (PDF, 3 pages, 106KB)
Chapter 10: Inequalities, assets and local government (PDF, 3 pages, 141KB)
Chapter 11: Integrating social marketing into what we do (PDF, 3 pages, 134KB)
Chapter 12: The enforcement role of local government as a tool for health (PDF, 2 pages, 105KB)
Chapter 13: Health impact assessment (PDF, 2 pages, 107KB)
Chapter 14: Using scrutiny to improve health and reduce health inequalities (PDF, 2 pages, 98KB)
Chapter 15: The local authority as employer (PDF, 2 pages, 108KB)
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